Codemed Inc Reviews Jobs in Usa
9,239 positions found
Looking for a career with a great company? We have opportunities available in Liverpool, NY for Truck Drivers and Warehouse Associates.
Attend our hiring event where well provide you with information about our team and the open positions below.
Our leadership team looks forward to meeting you!
When: October 12th, 10am - 5pm
Where: 4560 Morgan Place
Liverpool, New York 60;13090
What we offer:
Competitive pay
Comprehensive benefit plan (medical, dental, vision, short/long term disability, life insurance and more)
Retirement benefits
Paid time off (vacation, holidays, PTO and sick)
Employee Discount Programs
Paid training
Opportunities for growth and career advancement
We have the following positions available:
Class A or B CDL Truck Driver (Home Nightly) - $21.00/hr with a $5,000 Sign-on Bonus ($3,000 payable at 90 days and $2,000 at 1 year).
- Responsible for safely and efficiently operating a vehicle to deliver hardgoods, compressed cylinders, and associated products.
Cylinder Processor (Warehouse Associate) - $20.00/hr
- Responsible for performing duties associated with filling, labeling & preparing low pressure packaged gas cylinders and maintaining the cryogenic liquid filling system.
Praxair Distribution, Inc., a Linde Company, Praxair Distribution, Inc. is the worlds largest industrial gas company. We take pride in making our plant more productive with products, services and technologies that include high-performance surface coatings as well as specialty, medical, and process gases. For more information, please visit us at the job fair or at 60; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status, pregnancy, sexual orientation, gender identity or expression, or any other reason prohibited by applicable law.
Immediate need for a talented Hospital RN – Care Coordination & Utilization Review . This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA (Onsite). Please review the job description below and contact me ASAP if you are interested.
Job ID: 25-80861
Pay Range: $80 - $95/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Conduct utilization reviews using InterQual® / MCG®
- Support discharge planning and post-acute coordination
- Communicate with physicians, social work, and external providers
- Manage authorizations and payer-related workflows
- Maintain compliance with regulatory standards
Key Requirements and Technology Experience:
- Key Skills; CA RN License (Active)
- Acute inpatient hospital experience
- UM / Case Management / Discharge Planning background
Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.
When military bases, national security agencies, federal buildings, healthcare facilities, and leading commercial clients in Washington D.C and across the nation need superior facility support services, we answer the call. We offer a unique combination of government experience and facilities expertise that has helped us earn a position as one of the countrys leading integrated service providers.
About Us: EMCOR Government Services offers an experienced single-source solution for meeting the routine and mission-critical needs of federal, state, local and other government organizations. By combining our strong leaders with our expert professional technicians, commercial best practices, extensive facilities knowledge, and strong commitment to reliable, responsive service, we enable our government clients to achieve consistently high-performance facilities, on-time projects and long-term value.
Job Title: Lead Mechanical Engineer
Job Summary: EMCOR Government Services is seeking a Lead Mechanical Engineer (ME) to serve as the Subject Matter Expert (SME) for all mechanical systems supporting a major customer in the intelligence community located in Springfield, Virginia. The Lead ME is a key member of a team of dedicated and talented professionals in delivering a wide range of base operations support services - such as installation and facility operations, maintenance and repair; workforce and security support; logistics support; and, project management, as well as others - for a 2.5 million square foo state of the art headquarters building, adjacent customer buildings and over 100 small satellite sites located located throughout the Washington National Capitol Region (NCR).
*** This position is contingent upon contract award. ***
Essential Duties and Responsibilities include, but are not limited to:
- Serves as the principal manager responsible for the overall management and operation of the mechanical systems in support of of BOS
- Advises mechanical technicians in troubleshooting and resolving mechanical system malfunctions.
- Develops, implements and regularly reviews all mechanical systems and components preventative maintenance plans to ensure they are compliant with Original Equipment Manufacturer (OEM) standards.
- Performs overall capacity management of mechanical systems to ensure capability is in balance with known and/or future demand requirements.
- Maintains building calculations to manage supply available with required loads.
- Ensures building modifications comply with all code requirements and original design intent.
- Oversees the proper and timely application of Government and local regulations, codes, standards, policies and procedures related to mechanical systems operations and management.
- Working closely with the client, gains an understanding of their needs and requirements and communicates them and the appropriate performance standards to the contract staff and supporting vendors.
- Establishes and maintains an effective relationship with the customer in order to achieve a mutually beneficial business relationship.
- Devises ways to improve the full spectrum of the mechanical systems operations and services service delivery process to ensure high-quality goods and services are delivered on time and within cost.
- Keeps accurate documentation and when necessary, performs analysis of activities and processes to improve contract performance.
- Pro-actively seeks feedback from clients, attends meetings, submits reports, and assists both internal and external auditors and inspectors.
Security Clearance Requirement: This position requires an Active Top Secret/Sensitive Compartmented Information (TS/SCI) Clearance
Qualifications
- Currently licensed as a Mechanical Professional Engineer (PE) in one of the 50 U.S. states, U.S. Territories or Possessions.
- A bachelors degree from an accredited university in Facility Management, Construction Management, Engineering (Mechanical, Civil, Electrical, Structural), or another related field. A degree in Mechanical Engineering is preferred.
- At least 7 years of experience managing and operating facilities and systems of similar size, scope and complexity
- Strong technical knowledge of all facilities maintenance and operations, including complex mechanical, electrical and plumbing systems, structural systems, vertical transportation and data center operations.
- Highly developed leadership, management, supervisory, interpersonal, analytical and communication (oral and written) skills.
- Demonstrated ability to lead in a diverse and dynamic environment with short notice taskings and under high-pressure situations.
- Demonstrated knowledge and experience of building management systems such as Computerized Maintenance Management Systems (CMMS0 Building Automation Systems ( BAS) and Electrical Power Monitoring Systems ( EPMS) - individual certifications are highly desired
- Demonstrated knowledge and experience with Reliability- Centered Maintenance is a plus
- Industry recognized certification in Program and/or Project or Facility Management (e.g. Project Management Professional (PMP), Program Management Professional (PgMP), Certified Facility Manager (CFM), etc.) is desired.
As a leading provider of mechanical and electrical construction, facilities services, and energy infrastructure, we offer employees a competitive salary and benefits package and we are always looking for individuals with the talent and skills required to contribute to our continued growth and success. Equal Opportunity Employer/Veterans/Disabled
Notice to prospective employees: There have been fraudulent postings and emails regarding job openings. EMCOR Group and its companies . Please check our available positions to confirm that a post or email is genuine.
EMCOR Group and its companies do not reach out to individuals to help with marketing or other similar services. If an individual is contacted for services outside of EMCORs normal application process it is probably fraudulent.
#EGS
#LI-NS1
As a leading provider of mechanical and electrical construction, facilities services, and energy infrastructure, we offer employees a competitive salary and benefits package and we are always looking for individuals with the talent and skills required to contribute to our continued growth and success. Equal Opportunity Employer/Veterans/Disabled
Notice to prospective employees: There have been fraudulent postings and emails regarding job openings. EMCOR Group and its companies . Please check our available positions to confirm that a post or email is genuine.
EMCOR Group and its companies do not reach out to individuals to help with marketing or other similar services. If an individual is contacted for services outside of EMCORs normal application process it is probably fraudulent.
885522: NP / PA / Independent Reviewer UAS Contractors (New York State)
Med-Scribe, Inc. is a healthcare staffing service recruiting top-notch employees all throughout New York State for over 30 years! We are partnered with a large multi-national company dedicated to strengthening communities and improving the lives of those they serve by facilitating connections to government health and human services.
We are in search of experienced clinicians to join a UAS Home Care Project. In this role, you will be responsible for independent review and evaluation of completed UAS reassessments for appropriateness of long-term care services for consumers, in accordance with Medicare and Medicaid guidelines.
These are contractor positions ? which allow for flexibility in scheduling, at your own pace training, and pay at $100/hr.
In this role, you will be scheduled for in person appointments with members of the long term care population, who are applying for Managed Long Term Care services (MLTC). Your clients will have already completed a UAS evaluation with a Registered Nurse, and your role will be to determine whether MLTC and home care services are adequate for the patient?s care, or if they should instead be admitted to a supportive facility. Each appointment will last approximately 1.5 hours ? 30 minutes of preparation time, 30 minutes meeting with the member, and 30 minutes completing and submitting your determination. Additional compensation is offered for longer appointments.
Schedules are arranged according to your availability; however hours are not guaranteed. You must be willing to work at least 9 hours weekly, within operation hours which run Monday ? Friday 8AM ? 7PM, and Saturday between 10AM-6PM. Candidates who are unable to work during these operation hours, or who cannot commit to 9 hours weekly will not be considered.
Expect to travel! Appointments will be scheduled anywhere within the county or counties of your choice, based on your availability. Candidates covering multiple counties will receive more hours. Please note, you must choose one full county to be considered!
Current openings include:
- Albany County
- Schenectady County
Minimum Qualifications:
- NYS Certified Nurse Practitioner License plus 3600 hours of experience OR
- NYS Certified Physician Assistant License
- An active NYS Medicaid number
- 2 years of prior experience within home care, geriatrics, or community health populations
- Willing to travel for in person appointments, with reliable transportation
Contractors will be compensated for each completed assessment, and will receive partial compensation for interrupted assessments.
These roles are 1099 contractor positions, and do not include benefits.
Follow us on Facebook for automatic updates to our listings!
To be considered, please visit our website at and reference job number 885522.
Med-Scribe is an equal opportunity employer. In accordance with anti-discrimination law, it is the purpose of this policy to effectuate these principles and mandates. Med-Scribe prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Med-Scribe conforms to the spirit as well as to the letter of all applicable laws and regulations.
#ESJ123
Job Type: Contract
Pay: $100.00 per hour
People with a criminal record are encouraged to apply
Application Question(s):
- Do you currently have an active NYS Medicaid Provider Number?
Experience:
- geriatric, community health, or home care: 1 year (Required)
License/Certification:
- NYS Nurse Practitioner or Physician Assistance License (Required)
Work Location: Hybrid remote in Albany, NY 12202
- Sunday 8 – 5 pm PST Pay Range: $43
- $44/hr.
on W2 Description: · The Care Review Clinician is responsible for performing utilization management (UM) reviews, including prior authorization of outpatient services, to ensure medical necessity, appropriate level of care, and compliance with regulatory and organizational guidelines.
· The clinician will review clinical documentation, apply evidence-based criteria, and collaborate with providers to facilitate timely and appropriate care for members.
· This role supports Client’s commitment to quality, cost-effective care and regulatory compliance within the California health plan.
Must Have Skills: · Knowledge of California delegation requirements · Strong understanding of utilization management processes · Experience with prior authorization review (outpatient preferred) · Ability to apply clinical guidelines (e.g.
MEDICAID, MCG) Day to Day Responsibilities: · Process outpatient prior authorization referrals · Review clinical documentation for medical necessity · Apply established UM criteria and guidelines · Communicate with providers for additional clinical information · Ensure compliance with state, federal, and Client policies · Document determinations accurately and timely Required Years of Experience: · Active, unrestricted California RN or LVN license required · Minimum of 3 years of clinical experience in utilization management
Medical Reviewer
As a Medical Reviewer in the Healthcare sector, you play a crucial role in ensuring the accuracy, compliance, and quality of medical content and documentation. Your work directly impacts patient safety, regulatory adherence, and the overall success of the company.
Importance of the Role:
Medical Reviewers are the gatekeepers of medical information, ensuring that all materials meet high standards of accuracy and integrity.
Impact on Team Collaboration: By collaborating with medical writers, researchers, and regulatory affairs teams, Medical Reviewers contribute to seamless teamwork and project success.
Industry Trends: Medical Reviewers must stay abreast of evolving regulations, digital health innovations, and data privacy laws to uphold best practices in medical content creation.
Key Stakeholders: This role interacts closely with medical writers, regulatory bodies, compliance officers, and project managers, playing a vital role in the company’s content development pipeline.
Success Measurement: Performance is gauged based on adherence to regulatory guidelines, accuracy of medical content, timely completion of reviews, and feedback from stakeholders.
Key Responsibilities
As a Medical Reviewer, your responsibilities encompass a range of critical tasks:
Project Planning and Execution: You will be involved in planning, scheduling, and executing medical content reviews to ensure timely delivery and accuracy.
Problem-Solving and Decision-Making: Medical Reviewers analyze complex medical data, resolve discrepancies, and make informed decisions to maintain content integrity.
Collaboration with Cross-Functional Teams: You will collaborate with medical writers, researchers, and regulatory teams to align content with medical and regulatory standards.
Leadership and Mentorship: Mentoring junior team members, providing guidance on medical writing best practices, and leading by example in quality assurance processes.
Process Improvement and Innovation: Constantly seeking ways to enhance efficiency, streamline review processes, and innovate in medical content creation and review.
Technical or Customer-Facing Responsibilities: Engaging with clients, healthcare professionals, or regulatory bodies to address queries, clarify medical information, and ensure compliance.
Required Skills and Qualifications
To excel as a Medical Reviewer, candidates must possess the following skills and qualifications:
Technical Skills:
Proficiency in medical terminology, knowledge of medical writing software, familiarity with regulatory guidelines, understanding of clinical trial protocols.
Educational Requirements:
A degree in Pharmacy, Medicine, Life Sciences, or a related field. Certification in Medical Writing or Regulatory Affairs is a plus.
Experience Level:
Minimum 3-5 years of experience in medical reviewing, pharmaceutical industry experience, familiarity with FDA and EMA regulations.
Soft Skills:
Excellent communication skills, attention to detail, critical thinking, ability to work under pressure, and a collaborative mindset.
Industry Knowledge:
In-depth knowledge of medical content regulations, pharmacovigilance processes, adverse event reporting, and medical device documentation requirements.
FOH is the largest provider of occupational health services in the federal government, serving more than 300 federal agencies and reaching 800,000 federal employees.
STG International is seeking a Board Certified Plastic Surgeon to perform medical review work and provide consultation and guidance to?the Department of Labor (DOL) for a variety of cases.
Each physician will?receive work on a case by case basis and will be compensated for their work at an hourly rate?for time spent performing the reviews.
Work will be performed remotely (outside of DOL?facilities) at FOH offices or from the physicians home/office and will require access to the internew.
The physician will be compensated as a 1099 contractor and will need to provide their own malpractice insurance.
Physician Requirements: Physicians eligible to perform the work must maintain the following credentials and meet the?following requirements specified by DOL and FOH: 1.
Current, unrestricted license in any state.
2.
American Board of Plastic Surgery certification (ABPS) 3.
Must have a minimum of two years experience clinical practice, and maintain a minimum of 240 hrs annually of direct patient care.
To learn more, please contact Julie Kaplan, Corporate Recruiter at STG International, Inc.
at either or call ext 366.
Remote working/work at home options are available for this role.
At Tata Technologies we make product development dreams a reality by designing, engineering, and validating the products of tomorrow for the world's leading manufacturers. Due to our continued growth, we are now recruiting for a Quality Review Coordinator (Quality Engineer) to strengthen our team in Columbus, GA.
Quality Review Coordinator (Quality Engineer)
Job Location: Columbus, GA
Duration: Full time
Citizenship Requirement: U.S. Citizen
Key Responsibilities:
Good understanding of Engine Manuals and other pertinent instruction and/or Approved Technical Data
Perform necessary mathematical computations to determine extent of nonconformance and complete appropriate paperwork.
Review and document previous history including part characteristic yield information when required by procedure or determining disposition recommendation.
Disposition basic Rework, Scrap, RTV tasks; Invoke repairs authorized by MRB via approved SRP and recommended Accept/Repair under the guidance of lead.
(Verifies/documents nonconforming characteristic classification of features being dispositioned.
Attach/record partner MRB dispositions.
Basic Qualifications:
High School Diploma or equivalent
U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.
Preferred Qualifications:
1 year of inspection/quality experience required.
Previously approved by the MRB
Additional Information:
Must be a U.S. Citizen. This position may require access to systems/tools that are restricted to individuals who possess US citizenship.
Equal Opportunity Statement:
Tata Technologies Inc. is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.
Tata Technologies: Engineering a better world.
Tata Technologies would like to thank all applicants for their interest, each application will be reviewed against the set criteria for the role. We would like to advise that only candidates under consideration will be contacted. If you do not hear from us within 10 working days following the closing date it will mean that unfortunately your application has not been successful. We will however retain your details for any suitable future opportunities.
Summary:
The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and guidelines related to UM. This nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- The prior authorization role completes an assessment of a proposed service to determine if the beneficiary has eligible coverage for the service and if it is medically necessary.
- Promote quality, cost-effective outcomes through prior authorization and concurrent review of requested services for medical necessity based upon evidence-based clinical guidelines.
- Identify and present cases of possible quality of care deviations, questionable admissions, and prolonged lengths of stay to the Medical Director for further determination.
- Appropriately refer beneficiaries who have complex or chronic conditions, a need for transition of care, disease management support, or other identifiable needs for coordination of the beneficiary’s member’s health care for behavioral health care management.
- Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
- Protect the confidentiality of data and intellectual property; assures compliance with national health information guidelines.
- Analyze clinical information submitted by medical providers to evaluate the medical necessity, appropriateness, and efficiency of the use of medical services, procedures, and facilities.
- Perform provider outreach to address post-hospital discharge services, redirection to in-network providers for appropriate steerage, durable equipment usage, and utilization of other medical services and/or procedures and other necessary telephonic follow-up.
- Utilize the nursing process and critical thinking skills to provide oversight of services and evaluation of service options.
- Ability to work in a variety of settings with culturally diverse communities with the ability to be culturally sensitive and appropriate.
- Must have excellent communication skills (written and verbal), clinical judgment, initiative, critical thinking, and problem-solving abilities.
- Must be able to take after hour calls to meet business requirements as needed.
Job Requirements:
Education/Skills
- Graduate of an accredited school of vocational nursing or equivalent required
- Associate’s (ADN) or Bachelor’s (BSN) in Nursing preferred
Experience
- 3 – 5 years of nursing experience preferred
- Experience in Microsoft software (e.g., Outlook, Teams, Word, and Excel) required
- General computer knowledge and capability to use computers required
Licenses, Registrations, or Certifications
- LVN license in the state of employment or compact required
- RN license in state of employment or compact preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
This role is responsible for conducting detailed clinical reviews, evaluating medical necessity, and ensuring compliance with applicable regulatory requirements and organizational policies.
The Clinical Review Nurse will collaborate with internal teams and medical leadership to ensure timely and accurate resolution of cases while maintaining high standards of care and service.
Key Responsibilities for Clinical Review Nurse Conduct investigations and clinical reviews of member and provider grievances and appeals related to medical necessity .
Review prospective, inpatient, and retrospective medical records associated with denied services.
Summarize and present medical findings for Medical Directors, consultants, and external reviewers .
Apply clinical guidelines, policies, and benefit plan documentation when evaluating cases.
Prepare recommendations to uphold or overturn determinations and submit to the Medical Director for final approval.
Ensure appeals, grievances, and disputes are resolved within required regulatory timelines .
Evaluate requests for expedited review and determine urgency criteria.
Document case details and maintain accurate records within relevant tracking systems.
Draft written correspondence for members, providers, and regulatory entities .
Communicate with members, providers, and internal staff to support resolution of clinical concerns.
Identify potential quality-of-care concerns and escalate appropriately.
Serve as a clinical resource and subject matter expert to assist team members with appeals and grievance resolution.
Participate in additional projects and duties as assigned.
Essential Functions for Clinical Review Nurse Conduct thorough investigations of appeals, grievances, and provider disputes .
Evaluate the appropriateness of care within contractual, regulatory, and accreditation standards.
Identify system or process issues that may impact member care or service expectations and recommend improvements.
Perform documentation, reporting, and analytical tasks related to case reviews.
Maintain compliance with organizational policies, regulatory requirements, and professional standards .
Minimum Qualifications for Clinical Review Nurse Education / Licensing Active and unrestricted California Registered Nurse (RN) license Bachelor’s degree preferred Experience for Clinical Review Nurse Minimum 3 years of acute care clinical experience Minimum 2 years of appeals and grievances casework Preferred Experience for Clinical Review Nurse Utilization Management or Quality Management Experience applying standardized clinical guidelines Familiarity with Milliman Care Guidelines (MCG) , Managed Care, and NCQA standards Additional Details for Clinical Review Nurse No direct supervisory responsibilities Collaborative role working with clinical, operational, and leadership teams If you are an experienced nurse with strong clinical review and case evaluation skills and are looking to contribute to a team focused on quality care and regulatory excellence, we encourage you to apply.
*
